NPI 1477020824 · live from the CMS NPI Registry
Bozeman Primary Care PLLC
Family Medicine in Bozeman, MT. National Provider Identifier 1477020824, active.
NPI record
| NPI | 1477020824 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4535 Valley Commons Dr Ste 104, Bozeman, MT 59718 |
| Practice phone | 406-404-1525 |
| Enumerated | October 24, 2018 |
| Last updated | June 17, 2019 |
| Authorized official | Terry Edwards, Owner |
| Other names | Bozeman Primary Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.